Pain Care Physicians PLLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PAIN CARE PHYSICIANS PLLC

Practice address

3305 Nassau St Ste B
Everett, WA 98201-4140

Phone

(206) 538-6300

Fax

(206) 538-6301

NPI assigned

Oct 19, 2016

Organization subpart

Yes

Parent organization

PAIN CARE PHYSICIANS PLLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kevin Brian Moon

Title

Director of Revenue and Finance

Phone

(206) 538-6300

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Kala Lab Services Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Pain Care Physicians PLLC

  • Interventional Pain Medicine Physician
  • Renton, WA
  • NPI 1144779232

  O20161107001926

  Same enrollment
• Pain Care Physicians PLLC

  • Interventional Pain Medicine Physician
  • Everett, WA
  • NPI 1477116697

  O20161107001926

  Same enrollment
• Pain Care Physicians PLLC

  • Interventional Pain Medicine Physician
  • Spokane Valley, WA
  • NPI 1548710585

  O20161107001926

  Same enrollment
• Pain Care Physicians PLLC

  • Interventional Pain Medicine Physician
  • Tacoma, WA
  • NPI 1588113062

  O20161107001926

  Same enrollment
• Pain Care Physicians PLLC

  • Ambulatory Surgical Clinic/Center
  • Olympia, WA
  • NPI 1619530839

  O20161107001926

  Same enrollment
• Pain Care Physicians PLLC

  • Interventional Pain Medicine Physician
  • Bellevue, WA
  • NPI 1871373894

  O20161107001926

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Pain Care Physicians PLLC

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1476835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753056000000",
    "number": "1780135368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 SW 16TH ST",
            "address_2": "SUITE 121",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572697",
            "telephone_number": "206-538-6300",
            "fax_number": "206-538-6301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3305 NASSAU ST STE B",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982014140",
            "telephone_number": "206-538-6300",
            "fax_number": "206-538-6301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN CARE PHYSICIANS PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PAIN CARE PHYSICIANS PLLC",
        "enumeration_date": "2016-10-19",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A",
        "authorized_official_last_name": "MOON",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "DIRECTOR OF REVENUE AND FINANCE",
        "authorized_official_telephone_number": "206-538-6300"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA NUMBER",
            "identifier": "50D2121489",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BILLING GROUP NPI",
            "identifier": "1144779232",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kala Lab Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kala Lab Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• India Wiktoria Pado, MA, LMHCA, MHP
• Ellen Pahl
• Jerushah Paige
• Kailani Paige, CMA
• Pain Care Physicians PLLC
• Skyler Paine
• Vinanti Charan Painter, PT
• Ana Paula Paiva, PA-C
• Nicholaus Aaron Palacios
• Peter Pall, ADN,RN

• Clinical Medical Laboratory in Everett, WA
• Providers in Everett, WA by specialty
• Clinical Medical Laboratory in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.